Miranda Goodwin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3761C Issued in AL

Practice address

3737 Government Blvd Ste 203
Mobile, AL 36693-4310

Phone

(251) 300-7134

Fax

(251) 202-7851

NPI assigned

Sep 16, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Psychiatry Associates LLCGroup PAC ID 5294022174, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Psychiatry Associates LLC

  • Psychiatry Physician
  • Mobile, AL
  • NPI 1346693298
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1902354178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 WOODLAND AVE",
            "city": "SATSUMA",
            "state": "AL",
            "postal_code": "365722204",
            "telephone_number": "205-792-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 GOVERNMENT BLVD STE 203",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934310",
            "telephone_number": "251-300-7134",
            "fax_number": "251-202-7851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Gulf Shores Pkwy Ste 6A",
            "address_purpose": "LOCATION",
            "city": "Gulf Shores",
            "state": "AL",
            "postal_code": "365425712",
            "country_code": "US",
            "telephone_number": "251-300-7134",
            "fax_number": "251-202-7851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MIRANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3761C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Douglas Goode, MD
• Sarah Catherine Goode, CRNP
• John Russell Goodloe Jr., D.M.D
• Travis Bedsole Goodloe III, MD
• Goodwill Easter Seals of the Gulf Coast
• Rebecca Marie Goodwin, LMFT
• Timothy B Goodwin, M.D.
• Gordan Oaks at Greystoke LLC
• Gordon Oaks Convalescent Center, Inc.
• Susan Gordon-Hickey, AU.D., PH.D.

• Clinical Social Worker in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.